Choice of tactics for surgical correction of postoperative intra-abdominal bleeding during surgery in the hepatobiliary zone
https://doi.org/10.52888/0514-2515-2023-356-1-46-54
Abstract
Aim. To improve the immediate results of treating postoperative bleeding in hepatobiliary surgery.
Material and methods. The paper presents the results of a study of 155 patients with postoperative intra-abdominal bleeding after operations in the hepatobiliary zone. The main reasons for the development of postoperative intraabdominal bleeding are analyzed.
Results. The study substantiated a clinical classification of postoperative intra-abdominal bleeding is proposed and the use of laparoscopy in the correction of postoperative intra-abdominal bleeding after operations in the hepatobiliary zone. Based on the results obtained, with an individual approach, the authors recommend using laparoscopy in patients with postoperative intra-abdominal bleeding.
Conclusion. Relaparoscopy for postoperative intra-abdominal bleeding, regardless of the nature of the previous operation, allows, with minimal aggression of re-intervention, to reliably stop bleeding and eliminate its causes.
About the Authors
F. I. Makhmadov
Department of Surgical Diseases №1 of the State Educational Institution “Avicenna Tajik State Medical University”
Tajikistan
Tajikistan
Mahmadov Farukh Isroilovich - Doctor of Medical Sciences, Professor
Tel: +992900754490
D. N. Sadulloev
Department of Surgical Diseases №1 of the State Educational Institution “Avicenna Tajik State Medical University”
Tajikistan
Tajikistan
M. M. Boltuboev
Department of Surgical Diseases №1 of the State Educational Institution “Avicenna Tajik State Medical University”
Tajikistan
Tajikistan
A. I. Murodov
Department of Surgical Diseases №1 of the State Educational Institution “Avicenna Tajik State Medical University”
Tajikistan
Tajikistan
A. S. Ashurov
Department of Surgical Diseases №1 of the State Educational Institution “Avicenna Tajik State Medical University”
Tajikistan
Tajikistan
F. Sh. Safarov
Department of Surgical Diseases №1 of the State Educational Institution “Avicenna Tajik State Medical University”
Tajikistan
Tajikistan
F. N. Najmudinov
Department of Surgical Diseases №1 of the State Educational Institution “Avicenna Tajik State Medical University”
Tajikistan
Tajikistan
Sh. N. Shamsullozoda
Department of Surgical Diseases №1 of the State Educational Institution “Avicenna Tajik State Medical University”
Tajikistan
Tajikistan
References
1. Abdiev A.A. Prichiny i diagnostika oslozhneniy, trebuyushchikh relaparotomii v abdominalnoy khirurgii [Causes and diagnosis of complications requiring relaparotomy in abdominal surgery]. Nauka, novye tekhnologii i innovatsii - Science, New Technologies of innovations, 2017, No. 1, pp. 49-52.
2. Vorobey A.V. Drenirovanie bryushnoy polosti v ramkakh programmy khirurgii bystrogo vyzdorovleniya [Causes and diagnosis of complications requiring relaparotomy in abdominal surgery]. Khirurgiya. Vostochnaya Evropa - Surgery. Western Europe, 2014, No. 1 (9), pp. 138-145.
3. Zubritskiy V.F. Miniinvazivnye vmeshatelstva pod kontrolem ultrazvukovogo issledovaniya u posleoperatsionnykh bolnykh [Minimally invasive ultrasound-guided interventions in postoperative patients]. Koloproktologiya - Coloproctology, 2014, No. 1, pp. 42-47.
4. Karpov O.E. Integratsiya miniinvazivnykh navigatsionnykh tekhnologiy v klinicheskuyu praktiku mnogoprofilnogo meditsinskogo uchrezhdeniya [Integration of Minimally Invasive Navigation Technologies into the Clinical Practice of a Multidisciplinary Medical Facility]. Vestnik Natsionalnogo mediko-khirurgicheskogo Tsentra im. N.I. Pirogova - Bulletin of the National Medical and Surgical Center named after N.I. Pirogov, 2017, Vol. 12, No. 2, pp. 25-32.
5. Maskin S.S. Planovye i srochnye relaparotomii pri posleoperatsionnykh vnutribryushnykh oslozhneniyakh [Planned and urgent relaparotomies for postoperative intra-abdominal complications]. Kubanskiy nauchnyy meditsinskiy vestnik - Kuban Scientific Medical Journal, 2013, No. 7, pp. 101-106.
6. Khachatryan N.N. Sovremennye vozmozhnosti profilaktiki posleoperatsionnykh oslozhneniy v abdominalnoy khirurgii [Modern possibilities of prevention of postoperative complications in abdominal surgery]. Meditsinskie tekhnologii. Otsenka i vybor - Medical Technologies. Evaluation and selection, 2012, No. 3 (9), pp. 26-32.
7. Tomnyuk N.D. Naibolee chastye oslozhneniya v abdominalnoy khirurgii [The most frequent complications in abdominal surgery]. Sibirskoe meditsinskoe obozrenie - Sibirian Medical Review, 2013, No. 2 (80), pp. 100-102.
8. Zhavoronkova O.I. Ultrazvukovaya diagnostika rannikh posleoperatsionnykh oslozhneniy v khirurgii organov gepatobiliarnoy zony i metody ikh minimalno invazivnoy korrektsii [Ultrasound diagnosis of early postoperative complications in hepatobiliary surgery and methods of their minimally invasive correction]. Meditsinskaya vizualizatsiya - Medical imaging, 2013, No. 6, pp. 133-136.
9. A rare intrahepatic subcapsular hematoma (ISH) after laparoscopic cholecystectomy: a case report and literature review. BMC Surgery, 2019, No. 19 (1), pp. 3.
10. Allaway M.R. Early Laparoscopic Washout May Resolve Persistent Intra-Abdominal Infection Post-appendectomy. World Journal of Surgery, 2019, No. 43 (4), pp. 998-1006.
11. Gupta A. Late postoperative bleeding after Rouxen-Y gastric bypass: management and review of literature. British Medical Journal. Case Reports, 2018, Vol. 11 (1), pp. e226271.
12. Zhou C. Clinical analysis of transumbilical single-incision laparoscopic cholecystectomy with totally free umbilical ring by conventional instruments. Zhonghua Yi Xue Za Zhi, 2018, No. 98 (48), pp. 3946-3949.
13. Palermo M. Percutaneous Image-Guided Abdominal Interventions for Leaks and Fistulas Following Sleeve Gastrectomy and Roux-en-Y Gastric Bypass. Obesity Surgery, 2019.
14. Eubanks R.D. Review of Operative Treatment of Delayed Presentation of Acute Cholecystitis. American Journal of Surgery, 2019, Vol. 1, No. 85 (1), pp. 98-102.
15. Elkbuli A. Successful utilization of angioembolization and delayed laparoscopy in the management of grade 5 hepatic laceration: Case report and literature review. International Journal of Surgery. Case Reports, 2019, Vol. 59, pp. 19-22.
Review
For citations:
Makhmadov F.I., Sadulloev D.N., Boltuboev M.M., Murodov A.I., Ashurov A.S., Safarov F.Sh., Najmudinov F.N., Shamsullozoda Sh.N. Choice of tactics for surgical correction of postoperative intra-abdominal bleeding during surgery in the hepatobiliary zone. Health care of Tajikistan. 2023;(1):46-54. (In Russ.) https://doi.org/10.52888/0514-2515-2023-356-1-46-54
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